Organization
PARAGON HEMOPHILIA SOLUTIONS LLC
Active
Parent organization
PARAGON HEALTHCARE, INC.
Other names
Paragon Healthcare Specialty, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PARAGON HEALTHCARE, INC.
Authorized official
AMY MULDERRY (PRESIDENT)
(972) 588-1000
Entity
Organization
Contact information
Practice address
3033 W PRESIDENT GEORGE BUSH HWY STE 100B, PLANO, TX 75075-5752
(888) 588-1072
(866) 388-1488
Mailing address
3033 W PRESIDENT GEORGE BUSH HWY STE 100-B, PLANO, TX 75075-5752
(972) 588-1000
(866) 388-1488
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
25453
TX
3336S0011X
Specialty Pharmacy
Primary
25453
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149518
—
TX
05
—
200662540
—
OK
01
—
PH0618
MEDICARE LOCAL CARRIER - TRAILBLAZER HEALTH SERVICES
TX
Enumeration date
03/08/2007
Last updated
11/12/2024
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